New York, June 10, 2014 -- Moody's Investors Service changed the rating outlook of P2 Lower Acquisition, LLC (formerly Progressive Health Solutions) to negative from stable. At the same time, Moody's affirmed P2's existing ratings, including its B2 CFR. The company is adding $130 million to its First Lien and $80 million to its Second Lien Term Loan in order to fund a $210 million dividend to its sponsors and management.

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